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HEATH TOWN SWIMMING CLUB Application Form for Junior and Senior Membership Applicant’s Details Surname: First Name(s): Date of Birth: Address: Parents? Details for Children under the age of 16 Mother
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Start by carefully reading all instructions and requirements listed on the form.
02
Gather all necessary documents and information that may be required, such as identification, medical history, and insurance details.
03
Begin filling out the form by providing your personal information, including your full name, date of birth, address, and contact information.
04
Pay close attention to any specific sections related to health information. Provide accurate and detailed answers regarding your medical history, current conditions, and any medications you may be taking.
05
If applicable, fill out the section on insurance coverage, providing details of your health insurance policy, including the provider's name, policy number, and coverage limits.
06
Review the completed form for any errors or missing information. Make sure all sections are filled out accurately and completely.
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If required, sign and date the application form, certifying that the information provided is true and accurate to the best of your knowledge.
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Finally, submit the completed application form as instructed, whether it is by mailing it to the appropriate address, submitting it online, or delivering it in person.

Who needs application form - heath?

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Individuals seeking health insurance coverage may need to fill out an application form to apply for a policy.
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